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Maternal, Child Health and Neonatal Nursing Commons

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All Articles in Maternal, Child Health and Neonatal Nursing

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Caring For The Bereaved Mother, Ivonne Rocio Guzman 2018 Seton Hall University

Caring For The Bereaved Mother, Ivonne Rocio Guzman

Seton Hall University DNP Final Projects

Purpose: Caring for the bereaved mother can be a challenging undertaking for healthcare professionals who unless have suffered a similar loss, can find it difficult to relate with bereaved parents. The purpose of this DNP project is to research grief and bereavement to better understand the parental bereavement experience and to develop an education lesson for MBU nurses caring for bereaved patients. It is essential to provide nurses with insight into the bereavement experience of parents who have suffered the loss of a child, so they can provide support that validates the parents’ grief and helps facilitate spiritual, emotional, or ...


Improving Neonatal Resuscitation Readiness, Benay Johnson 2018 Seton Hall University

Improving Neonatal Resuscitation Readiness, Benay Johnson

Seton Hall University DNP Final Projects

According to the AHA and the AAP, approximately 10% of newborns require some assistance to begin breathing at birth; less than 1% need extensive resuscitative measures to survive (2015). There is an abundance of evidence-based literature on the need for neonatal resuscitation readiness. However much of this literature is targeted toward teamwork efforts during the act of resuscitation. This DNP scholarly project is to take a step back to improve the actual set-up component required for neonatal resuscitation. There can be instances in which equipment is not properly set-up or the set-up is not appropriate for the gestational age of ...


Improving Neonatal Outcomes Through The Implementation Of A Delayed Bathing Program, Kathy LiVolsi 2018 Seton Hall University

Improving Neonatal Outcomes Through The Implementation Of A Delayed Bathing Program, Kathy Livolsi

Seton Hall University DNP Final Projects

Abstract

Background and Objective: Until 2010 newborns at most community-based hospitals were subjected to their initial bath within two hours of birth. However, this practice has recently changed due to the evidence-based recommendations that demonstrate improved outcomes for neonates when the first bath is delayed for 12-24 hours after birth. Upon delivery, infants are placed skin-to-skin with their parents to promote thermoregulation, breast feeding and bonding. The purpose of this project was to implement a program that delayed infant bathing until the infant was approximately 24 hours old. Rates of neonatal hypoglycemia, neonatal hypothermia, exclusive in-hospital breastfeeding and formula supplementation ...


Neonatal Resuscitation And Quality Improvement Initiatives At Hopital St Nicolas De Saint Marc, Haiti, Deborah O’Dowd 2018 Worcester State University

Neonatal Resuscitation And Quality Improvement Initiatives At Hopital St Nicolas De Saint Marc, Haiti, Deborah O’Dowd

Community Engagement and Research Symposia

According to statistics drawn from the World Health Organization, Haiti has one of the highest infant mortality rates in the Americas, at 52.2 per 1,000 live births as compared to 12.5 per 1,000 live births in the Americas overall (World Health Organization, 2016). One of the key factors in improving these numbers is to improve the availability and quality of care. Providing advanced education to Haitian nursing staff regarding the care of neonates is vital to improving the outcomes of this patient population. Additionally, providing a strong foundation in quality improvement methodology gives the nurses the ...


Meta-Analysis Of The Effects Of Exercise Interventions On Obese Adolescents, Brandy E. Strahan PhD, RN, Hyochol Ahn PhD, MS-ECE, MS-CTS, APRN, ANP-BC, Jonathan Shuster M.Sc., Ph.D. 2018 University of West Florida

Meta-Analysis Of The Effects Of Exercise Interventions On Obese Adolescents, Brandy E. Strahan Phd, Rn, Hyochol Ahn Phd, Ms-Ece, Ms-Cts, Aprn, Anp-Bc, Jonathan Shuster M.Sc., Ph.D.

Journal of Nursing & Interprofessional Leadership in Quality & Safety

A meta-analysis of 10 randomized control studies published in 2003-2013 was conducted to provide a summary of the effects of exercise interventions on obese adolescents. Outcomes of the reviewed trials included body mass index, weight, glucose, and triglycerides. Data were combined using an inverse variance weighted random effects model. The effect size estimate for BMI was 1.354 kg/m2 (p < 0.001, SE 0.321), indicating that the BMI of individuals in treatment groups improved, as compared to control groups. A statistically significant reduction in weight was greater in the intervention groups than the control groups by 3.815 kg (p = 0.001, SE 1.101). The findings of this meta-analysis show that exercise interventions may improve control of weight and BMI and in turn be a factor in decreasing obesity.


What’S In A Name: Performance Improvement, Evidence-Based Practice, And Research?, Andrea Prentiss, Eve Butler 2018 Baptist Hospital of Miami, Miami Cancer Institute, Baptist Health South Florida

What’S In A Name: Performance Improvement, Evidence-Based Practice, And Research?, Andrea Prentiss, Eve Butler

Nursing & Health Sciences Research Journal

No abstract provided.


Nurses' Knowledge, Attitudes, And Perceived Self-Competency Regarding Individualized Developmental Care In The Neonatal Intensive Care Unit, Patricia Macho 2018 The Graduate Center, City University of New York

Nurses' Knowledge, Attitudes, And Perceived Self-Competency Regarding Individualized Developmental Care In The Neonatal Intensive Care Unit, Patricia Macho

All Dissertations, Theses, and Capstone Projects

Infants born prematurely are at a greater risk for developing both cognitive and motor development delays related to continuing their development outside the normal uterine environment. Because of the potential adverse effects of the Neonatal Intensive Care Unit (NICU) environment on the quality of life of premature infants and their families, researchers have investigated, developed, and tested different developmentally supportive interventions to improve outcomes and decrease the negative effects of the NICU. The majority of successful interventions are based on the Synactive Theory of Individualized Developmental Care (IDC)-a form of patient/family- centered care for the neonate.

The majority ...


Managing Ambiguity: Nurses Caring For The Mother Of A Stillborn Baby, Natasha J. Nurse 2018 The Graduate Center, City University of New York

Managing Ambiguity: Nurses Caring For The Mother Of A Stillborn Baby, Natasha J. Nurse

All Dissertations, Theses, and Capstone Projects

Abstract

Purpose: The aim of this study was to describe and conceptualize the experiences and processes involved when labor and delivery nurses provide care to women experiencing a stillbirth.

Background: The care of a woman experiencing a stillbirth is an important topic that requires attention, however, there is a paucity of literature on the specifics of a nurse’s experience as she or he cares for a grieving mother. These experiences may shed light on gaps in care that may exist as well as gaps in the resources, education and support needed to appropriately prepare nurses for providing care to ...


It's About Time! Gdm: A Transformative Postpartum Process. A Constructivist Grounded Theory Study, Natalie Giannotti 2018 The University of Western Ontario

It's About Time! Gdm: A Transformative Postpartum Process. A Constructivist Grounded Theory Study, Natalie Giannotti

Electronic Thesis and Dissertation Repository

Abstract

Gestational Diabetes Mellitus (GDM) is defined as glucose intolerance with onset or first diagnosis during pregnancy, and affects 3.7%-18% of Canadian women (Canadian Diabetes Association, 2013). Social support can help women with a history of GDM be successful in achieving optimal health postpartum. The purpose of this constructivist grounded theory (GT) study (Charmaz, 2011) was twofold: (1) To explore the social support processes of women with a history of GDM as they navigate through the healthcare system postpartum, to restore and maintain their health, and (2) To critically examine facilitating factors and barriers to engaging in health ...


Surrogacy: Pathway To Parenthood, Rachel A. Joseph, Alexandria M. Rafanello, Cassidy J. Morris, Kerry F. Fleming 2018 West Chester University of Pennsylvania

Surrogacy: Pathway To Parenthood, Rachel A. Joseph, Alexandria M. Rafanello, Cassidy J. Morris, Kerry F. Fleming

Nursing Faculty Publications

Assistive reproductive technology has progressed significantly over the past few decades. In spite of the advances, people may still resort to a surrogate for bearing and birthing a baby. Surrogacy, though an altruistic act, has been commercialized in the past few years, leading to emergence of several ethico-legal concerns. Nurses care for the surrogates, the infants, and the intended parents through their journey with sensitivity, advocacy, compassion, and confidentiality. This article intends to explore the implications of surrogacy to individuals, families, nations, and health care.


Pediatric Primary Care Providers And Postpartum Depression: Educating Providers About The Importance Of Regular Screening, Referrals And Follow-Up, Tara Boyd 2018 University of Massachusetts Amherst

Pediatric Primary Care Providers And Postpartum Depression: Educating Providers About The Importance Of Regular Screening, Referrals And Follow-Up, Tara Boyd

Doctor of Nursing Practice (DNP) Projects

Postpartum depression affects approximately 10-20% of women in the first year after giving birth. Postpartum depression can be difficult to assess, as many symptoms mimic that of “normal” postpartum activity, including insomnia, changes in appetite and anxiety. Lack of education about postpartum depression, or fear of discussing these concerns with their providers, can cause postpartum depression to go undiagnosed and untreated. Additionally, women who are diagnosed with some level of postpartum depression may not ever receive treatment for it. Undiagnosed and untreated postpartum depression can have serious health implications for mothers and their babies, causing permanent effects on child developmental ...


Antibiotic Prescribing For Treatment Of Acute Pediatric Illnesses By Advanced Practice Nurses, Deborah Whitehurst 2018 University of Kentucky

Antibiotic Prescribing For Treatment Of Acute Pediatric Illnesses By Advanced Practice Nurses, Deborah Whitehurst

DNP Projects

Antibiotic over-prescribing by physicians for the treatment of acute respiratory tract illnesses have been examined in a variety of settings. Different studies have examined nurse practitioner (NP) prescribing practices both in the United States and various international settings. There have been limited studies specifically examining antibiotic prescribing practices in the pediatric population. However, no studies were found which compared population specific NP groups. The purpose of this study was to understand differences in antibiotic prescribing practices among advanced practice pediatric providers.

The goal of this project was to describe and compare antibiotic prescribing practices of pediatric nurse practitioners (PNP) and ...


The Role Of Exercise For Postpartum Depression And Well-Being, Maria Gaz 2018 Minnesota State University, Mankato

The Role Of Exercise For Postpartum Depression And Well-Being, Maria Gaz

All Theses, Dissertations, and Other Capstone Projects

Postpartum depression is a prevalent condition (American Psychological Association, 2018). Untreated postpartum depression can have serious consequences for the mother and baby (McCurdy, Boule, Sivak, & Davenport, 2017). Traditional treatment options may not be feasible. Exercise is an effective treatment for adults with depression (McCurdy et al., 2017). Less is known about treating postpartum depression with exercise. This review of the literature sought to understand in postpartum mothers, how a regimen of regular exercise, compared to no regular exercise, impacted the perception of wellbeing and/or postpartum depression scores. The Cumulative Index to Nursing and Allied Health Literature (CINAHL) Plus with ...


Anxiety Reduction In Pregnancy Subsequent To Perinatal Loss, Jessica Lemker 2018 Minnesota State University, Mankato

Anxiety Reduction In Pregnancy Subsequent To Perinatal Loss, Jessica Lemker

All Theses, Dissertations, and Other Capstone Projects

Anxiety is common in pregnancies that occur after a miscarriage or perinatal loss and can lead to detrimental effects on the mother and fetus. The objective of this literature review is to examine whether caring-based nursing actions and anxiety-reducing interventions decrease the self-report of anxiety more than self-management alone. A literature search of four journal databases was conducted using related keywords which produced 429 studies for consideration. A total of 57 studies were reviewed for a match with the inclusion criteria. Nine studies were included in the review provided knowledge of anxiety in pregnancy after loss, discussed anxiety self-management techniques ...


Intimate Partner Violence And Its Impact On Pregnant Women And Their Infants: A Systematic Review, Rachel Ashley, Emily Pagni, Alissarh Choujaa 2018 The University of Akron

Intimate Partner Violence And Its Impact On Pregnant Women And Their Infants: A Systematic Review, Rachel Ashley, Emily Pagni, Alissarh Choujaa

Honors Research Projects

Abstract

In the United States, about 324,000 pregnant women are victims of Intimate Partner Violence (IPV) annually. IPV is any type of physical, sexual, or emotional abuse of women or men in family units. IPV has detrimental effects on pregnant women and their babies, from their physical health to their mental health. It is important for nurses and other healthcare providers to have knowledge and understanding about IPV in this population and to use effective interventions and screening procedures. The purpose of this systematic review is to review and critically analyze evidence about IPV in pregnant women. The literature ...


The Effect Of Lactation Consultation On The Duration Of Breastfeeding In New Mothers: A Systematic Review, Jillian Leiter, Jennifer Naegeli, Lilyana Walkley 2018 The University of Akron

The Effect Of Lactation Consultation On The Duration Of Breastfeeding In New Mothers: A Systematic Review, Jillian Leiter, Jennifer Naegeli, Lilyana Walkley

Honors Research Projects

In the United States, 3.978 million babies were born in the year 2015 (U.S. Department of Health & Human Services, 2016). Statistics show that less than 25% of newborns in the United States are breastfed for half of the recommended time by The American Academy of Pediatrics. There are many benefits to breastfeeding, but babies are not receiving these benefits. This systematic review identifies, reviews, and critically appraises the evidence regarding the effect of lactation consultation on duration of breastfeeding in new mothers. Literature was retrieved from CINAHL and Google Scholar. Each study was vetted based on criteria to ...


“Tell Me A Story®”: Promoting Resiliency In Military Children, Katherine-Marie Conover 2018 University of Massachusetts Amherst

“Tell Me A Story®”: Promoting Resiliency In Military Children, Katherine-Marie Conover

Doctoral Dissertations

Multiple and lengthy deployments of military members are common and negatively impact children’s well-being. Programs seek to increase resiliency and reduce potential negative impact of parental deployment on children exist but lack empirical evidence to support their effectiveness. Increased parent engagement through reading and subsequent discussion with their children has positive psychology implications and potential to improve resilience. Thus, this study’s purpose was to examine the effectiveness of the intervention Tell Me A Story® (TMAS) in improving resiliency in school-age children (aged 6 to 10 years) of active duty military members. This study also aims to examine the ...


Implementation Of Donor Human Milk In A Newborn Nursery: A Quality Improvement Initiative To Increase Exclusive Breast Milk Feeding, Emily Bombard 2018 University of New Hampshire, Durham

Implementation Of Donor Human Milk In A Newborn Nursery: A Quality Improvement Initiative To Increase Exclusive Breast Milk Feeding, Emily Bombard

DNP Scholarly Projects

Background: At the site of this quality improvement project, exclusive breast milk feeding rates before discharge from a newborn nursery were behind benchmark goals. The aim of this project was to improve exclusive breast milk feeding rates by implementing a Pasteurized Donor Human Milk (PDHM) Program for breastfeeding newborns requiring medically indicated supplementation. The study site was a Level I newborn nursery of a 20-bed, labor, delivery, recovery, and postpartum unit within a 100-bed community hospital (i.e., the agency).

Methods: This retrospective pre-post cohort study used the Plan, Do, Study, Act (PDSA) framework for rapid cycle change to assess ...


Pregnancy Loss In The Emergency Department, Gudrun ReiterHiltebrand 2017 The University of San Francisco

Pregnancy Loss In The Emergency Department, Gudrun Reiterhiltebrand

Master's Projects and Capstones

Abstract

The aim of this project is to improve the care for patients experiencing pregnancy loss in the emergency department (ED). Objectives are to enhance understanding of staff about the patients’ experience and their knowledge on how to best care for emotional needs, thus improving quality of patient care, work satisfaction, knowledge, confidence and comfort levels, while decreasing experienced stress. The project was implemented in a midsized community hospital with 117 beds, which discharged 74 patients with “interrupted pregnancies” over the previous year from the ED. The project was directed toward nurses, doctors, care partners, chaplains, and social workers. The ...


Coping With Labor Education For Nurses, Donna Vo 2017 The University of San Francisco

Coping With Labor Education For Nurses, Donna Vo

Master's Projects and Capstones

The “Coping With Labor Education for Nurses” education plan is substantiated by data from the California Maternal Quality Care Collaborative (CMQCC) vaginal birth initiative toolkit and other research. Evidence-based data from multiple sources indicates that improving how labor support is offered at the bedside for the laboring patient can potentially decrease cesarean rates, reduce expenses, and increase savings. The objectives of this plan are to improve patient advocacy and the level of labor support interventions labor and delivery nurses will provide for patients to improve patient satisfaction score above 80%, decrease or maintain cesarean rates below 24.9%, and improve ...


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